De Morel P, Nomballais F, Sagot P, Dantal F, Lopes P, Lerat M F
Département de Gynécologie-Obstétrique, CHR, Nantes.
Rev Fr Gynecol Obstet. 1990 May;85(5):313-8.
Endosalpingosis, defined by the presence in an ectopic site of epithelium comparable to that of the tubal mucosa, is not a well-known entity. In reference to 6 cases of our department, the authors have been able to assess this lesion. Clinical manifestations and laboratory tests offer no arguments. Cytology represents a diagnostic trap. The diagnosis may only be made histologically and is very often fortuitous. This benign lesion is often the result of a metaplasic process but, considering the difficulty of the diagnosis, the treatment is often surgical (total hysterectomy with castration). The course is uneventful.
输卵管内膜异位症是指在异位部位出现与输卵管黏膜上皮相似的上皮,这是一个不太为人所知的病症。参照我科的6例病例,作者得以对该病变进行评估。临床表现和实验室检查均无诊断依据。细胞学检查存在诊断陷阱。诊断只能通过组织学做出,而且往往是偶然发现。这种良性病变通常是化生过程的结果,但鉴于诊断困难,治疗通常采用手术方式(全子宫切除加去势)。病程平稳。